- Molina Healthcare (GA)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Elevance Health (Atlanta, GA)
- Value Based Provider Account Manager Sr . (JR150941) **Location:** This role requires associates to be in-office (Atlanta or Columbus/Midland) 1 day per week ... and be willing to visit providers quarterly. The Value Based **Provider Account Manager Sr .** is responsible for developing and maintaining positive provider… more
- Molina Healthcare (GA)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr . Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... Participate in weekly project status meetings with the Project Manager + Serve as a mentor for client adoption...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Prime Therapeutics (Atlanta, GA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program ... growing the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing… more
- Gentiva (Conyers, GA)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- CVS Health (Atlanta, GA)
- …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... Primary responsibilities include drafting, managing, and overseeing dental Medicaid and Medicare contracts across existing and new markets. This role involves… more
- Cardinal Health (Atlanta, GA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Healthfirst (GA)
- …members electronic record. + Participate in the Quality Management Program , identifying performance/process improvement opportunities and recommend studies for ... + Bachelors degree + Experience working as a care manager for long term care programs such as MAP...programs such as MAP or MLTC + Knowledge of Medicare Regulations related to Long Term Care + Experience… more
- CVS Health (Atlanta, GA)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more